Sri Lankan Journal of Medical Administration最新文献

{"title":"Development of Oral Healthcare Plan for Children with Congenital Anomalies","authors":"C. Gajanayake","doi":"10.4038/sljma.v24i2.5435","DOIUrl":"https://doi.org/10.4038/sljma.v24i2.5435","url":null,"abstract":"Background: Children having birth defects denote a high-risk group for oral diseases compared to their healthy counterpart. Untreated dental caries significantly accounts for the oral disease burden of children with birth defects. A preventive oral health and restorative dental care package with close follow up could offer much benefit for such children and this poster provides some baseline information in this regard.Objective: To describe an oral health care package offered to high caries risk children with birth defects at a multi-specialty, tertiary care, and premier public dental hospital setting in Sri Lanka.Methods: A Sample of 79 children with birth defects who visited the Preventive Oral Health Unit of the National Dental Hospital (Teaching) Sri Lanka from 1st January 2017 to 29th April 2019 were included in the present analysis, by extracting data from unit’s data base. The level of corporation of a child for oral health care was assessed by child’s compliance with mouth examination and provision of simple dental treatment in a child-friendly dental setting.Results: Children with birth defects aged (mean ± SD) [6.02 ± 3.17-years], carried a high burden of untreated dental caries. The mean number (±SD) of non-cavitated decayed teeth was 2.65± 3.62, cavitated decayed teeth was 2.97±2.97 and pulp exposed teeth was 3.59 ±3.60 respectively. Children were offered a preventive oral health care package comprised of customized behavioural management, oral hygiene instructions and dietary counselling (for parental care givers), professional fluoride applications, simple restorations of carious teeth, fissure sealant applications for permanent molar teeth, referral for pulp therapy for pulp exposed symptomatic teeth under general anaesthesia to Restorative Unit B with follow up of care. 50.6% of children deemed cooperative and 8.9% were partially cooperative to receive oral health care provided by the Preventive Oral Health Unit.Conclusion: This baseline information must be utilized for effective planning of oral healthcare for children with birth defects.","PeriodicalId":197325,"journal":{"name":"Sri Lankan Journal of Medical Administration","volume":"5 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141011440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Lessons Learned from the Past Pandemic Concept Note on Proposed Reforms of Care Pathways","authors":"N. Ranawaka, R. Nanayakkara, A. Jayatileka, K. W. R. Wimalagunarathne, S. Seralathan, K. Jeyassuthan, P. W. C. Panapitiya","doi":"10.4038/sljma.v24i2.5439","DOIUrl":"https://doi.org/10.4038/sljma.v24i2.5439","url":null,"abstract":"No abstract available","PeriodicalId":197325,"journal":{"name":"Sri Lankan Journal of Medical Administration","volume":"21 S5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141011123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evidence of hidden leprosy diagnosed by active case finding in a highly endemic setting in Colombo district, Sri Lanka","authors":"K. Kalubowila, F. Dissanayake, M. Tilakarathne, S. Withanage, S. Anujan, C. Gajanayake","doi":"10.4038/sljma.v24i2.5434","DOIUrl":"https://doi.org/10.4038/sljma.v24i2.5434","url":null,"abstract":"Background: To achieve the elimination of leprosy by 2030, improving case detection, contact tracing and early treatment is essential. However, the extent of hidden leprosy in pockets of endemic areas remains unexplored.Objective: To determine the prevalence of hidden leprosy and its associated factors.Methods: A household survey was conducted in the Divisional Secretariat (DS) area, Moratuwa over two months from 1st September 2023 using an interviewer-administered questionnaire. The data collection and screened were done by the public health staff attached to the Medical Officer of Health office after obtaining the written informed consent.Results: The socio-demographic data were presented as frequency distributions. The prevalence was calculated and presented as proportion with its 95% confidence interval (CI). The factors associated with leprosy were calculated using bivariate and multivariate logistic regression and p<0.05 was considered statistically significant. A total of 6486 people were screened in 2059 premises. Thirteen cases were confirmed as leprosy; thus, the prevalence of hidden leprosy was 20.1 (95% CI 11-34) per 10000 population. The majority (n=10, 77.0%) were multi-bacillary type, and two patients were under 15 years of age, while three were presented with grade II disability. Age above 15 years (p=0.001) and presence of another leprosy patient in the house (p=0.001) were statistically significant with the disease.Conclusion: High number of leprosy cases were hidden in pockets in DS area Moratuwa, therefore active case findings targeting populations of age 15 years or above and contact screening of the household/d members play a substantial role.","PeriodicalId":197325,"journal":{"name":"Sri Lankan Journal of Medical Administration","volume":"157 8‐12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141007337","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparative Analysis of the Medical Equipment Management Process in Colombo Gampaha and Kaluthara Districts","authors":"I. D. Prathapasinghe, C. Gajanayaka, D. K. Ariyadasa, G. S. E. Perera, N. K. Rajapaksha, O. Geethananda, K. D. Jayalath","doi":"10.4038/sljma.v24i2.5433","DOIUrl":"https://doi.org/10.4038/sljma.v24i2.5433","url":null,"abstract":"Background: Bio Medical Engineering (BME) professionals need to continuously review and improve their management strategies to keep up with enhancement in equipment technology, as well as with increasing expectations of health care organizations. In the last two decades, management strategies have evolved from the initial observation of electrical safety to flexible criteria that fit the individual institution's needs. The focus should be on the risks caused by equipment failure, rather than on equipment with highest maintenance demands.Objective: To explore the Medical Equipment Management process in the Department of Health Western Province.Methods: A retrospective cross-sectional study was conducted. Study period was from 1st January 2022 to 31st December 2022. Retrospective documentary data was obtained from the records maintained by the three Bio Medical Engineering offices in Colombo, Kaluthara and Gampaha. Data analysis was performed in an Excel sheet. Since the availability of a huge volume of equipment categories, researchers had to exclude some equipment such as blood pressure monitors due to time constraints.Results: Lowest preventive maintenance has been performed by Kaluthara BME Unit. It is confirmed that 100% Preventive maintenance has been performed by the local agent in Kaluthara District.Conclusion: Lowest performance in preventive maintenance has been performed by Kaluthara district BME unit. But in the aspect of corrective maintenance, they expressed the highest performance. Other two districts evidence showed an average performance. It is recommended to instruct BME unit Kaluthara district to start preventive maintenance. It is recommended to use their professional judgment and experience in establishing their own maintenance strategies.","PeriodicalId":197325,"journal":{"name":"Sri Lankan Journal of Medical Administration","volume":"361 19","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141006227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Review article on Medication adherence","authors":"C. M. Abeysekara, K. K. N. Prasanthi, K. Jeyassuthan, A. G. M. M. Dharmadasa","doi":"10.4038/sljma.v24i2.5436","DOIUrl":"https://doi.org/10.4038/sljma.v24i2.5436","url":null,"abstract":"No abtract available","PeriodicalId":197325,"journal":{"name":"Sri Lankan Journal of Medical Administration","volume":"16 17","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141006112","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An assessment of the vehicle operations and transport services in RDHS office Colombo","authors":"T. Gandeepan, S. N. B. Premadasa, K. Rahulan, T. Kasthuri","doi":"10.4038/sljma.v24i2.5426","DOIUrl":"https://doi.org/10.4038/sljma.v24i2.5426","url":null,"abstract":"Background: Colombo is the capital of Sri Lanka, RDHS Colombo has a large population to deliver healthcare services with their existing resources in a unique way when compared to other RDHS divisions in Sri Lanka. Vehicle Management Systems save time, money, and hassle. By optimizing the vehicle management system, we can gain a better operational view, improve patient care, eliminate inefficient vehicle use, prevent vehicle misuse and related resources and reduce downtime.Objective: To analyse the existing system and challenges in vehicle operations and transport services in RDHS office, ColomboMethods: This is a descriptive case study. The information to assess the structure and function of existing vehicle operations and transport services was gathered by interviewing key informants and desk review. Based on the assessment problems were identified and prioritized. Nominal group technique was adopted for prioritization.Results: Six major problems were identified. Lack of training and education for drivers and non-implemented disciplinary procedures was selected as the problem for further analysis based on the weightage given by the members of the nominal group. It was given higher weightage due to the rising concerns about the health hazards following accidents and vehicle repairs.Conclusion: The study reveals that frequent changes in vehicle subject clerks may lead to a lack of supervision of drivers and there are no institutional guidelines for periodic staff training.Recommendations: The study recommends preparing institutional policies on vehicle maintenance and providing training and education to drivers. In addition, it is suggested to appoint a disciplinary committee to expedite the disciplinary procedure following accidents and vehicle maintenance. It also recommended as a long-term solution to prepare a term of reference (TOR) on annual transfers of drivers for the ambulances and other vehicles based on vehicle maintenance, accident history, discipline and seniority and do periodic surveillance to ensure vehicle registration, renewing tax and insurance, maintain logbook and repair summary, and maintenance and accident summary and ensure disciplinary process.","PeriodicalId":197325,"journal":{"name":"Sri Lankan Journal of Medical Administration","volume":"20 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141008096","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient adherence to Continuous Ambulatory Peritoneal Dialysis treatment in a low-resource setting: An interventional study","authors":"M. S. S. Yapa, J. L. P. Chaminda, T. H. N. G. Amaraweera","doi":"10.4038/sljma.v24i2.5418","DOIUrl":"https://doi.org/10.4038/sljma.v24i2.5418","url":null,"abstract":"Background: Continuous Ambulatory Peritoneal Dialysis (CAPD) is an affordable home-based treatment method for low-resource settings. Currently, CAPD facilities in low-resource settings are expanding in Sri Lanka. Non-adherence of patients and caregivers to the treatment is a major problem.Objective: To assess the current adherence and outcome of CAPD in low-resource settings, design an intervention to reduce the current shortcomings and evaluate the results of the intervention for improving patient adherence.Methods: This was an interventional research project with patients undergoing CAPD. Interviewer-administered questionnaires and key informant interviews during the pre and post-intervention stages were used to assess adherence. Gaps identified after analysing the results of pre-intervention were used to design the intervention. Three “one-day” workshops were conducted to improve adherence. The new system was introduced and continued for five months, after which post-intervention was assessed. McNemar’s and paired t-tests were used to measure the statistical significance.Results: Most of the participants were males, aged 50 to 59 years. Results showed that intervention proved to be effective in improving overall feelings about current health conditions (p=0.004). The number of days a patient stayed in a hospital decreased after the intervention (p=0.001). It showed a positive effect on overall personal hygiene practices (p=0.000). Further, intervention positively impacted record keeping (p=0.096).Conclusion: The intervention significantly contributed to improving patient adherence and caregivers' knowledge. Continuous assessment, training programs, and home visits for problematic patients should be implemented to improve adherence and sustainability of the CAPD.","PeriodicalId":197325,"journal":{"name":"Sri Lankan Journal of Medical Administration","volume":"12 15","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141005699","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of waste management interventions at the new District General Hospital, Hambantota","authors":"V. G. S. C. Ubeysekara, S. Dolamulla, D. K. Lokuhewagama, H. Karawita","doi":"10.4038/sljma.v24i2.5425","DOIUrl":"https://doi.org/10.4038/sljma.v24i2.5425","url":null,"abstract":"Background: Healthcare waste management is a critical global issue and an effective waste management is essential to maintain a safe and hygienic healthcare environment. District General Hospital, Hambantota serves a significant population in the region and the hospital generates substantial medical waste including general non-hazardous waste, hazardous waste, infectious waste and recyclable waste.Objective: To assess the effectiveness of waste management interventions at the hospital and to provide recommendations for improving waste handling and disposal strategies.Methods: A comprehensive approach was adopted, involving a combination of quantitative and qualitative methods. Surveys and direct observations assessed current practices and infrastructure, while interviews with healthcare professionals provided in-depth insights. Compliance with waste management regulations and guidelines was evaluated through document analysis.Results: Following the intervention, waste production per bed per day was significantly reduced from 2.03kg to 1.27kg, and most waste types showed a decrease in quantity.Conclusion: Following the intervention, waste production per bed per day was significantly reduced from 2.03kg to 1.27kg, and most waste types showed a decrease in quantity.","PeriodicalId":197325,"journal":{"name":"Sri Lankan Journal of Medical Administration","volume":"63 s88","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141008826","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"SWASTHA: Revolutionizing Medical Supply Management in Sri Lankan Healthcare","authors":"H. Attanayake, I. W. Y. K. C. Rambukwelle","doi":"10.4038/sljma.v24i2.5437","DOIUrl":"https://doi.org/10.4038/sljma.v24i2.5437","url":null,"abstract":"No abstract available","PeriodicalId":197325,"journal":{"name":"Sri Lankan Journal of Medical Administration","volume":"21 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141011113","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Case study on Provincial Specific Development Grant allocation for Regional Directorate of Health Services, in Western Province, Sri Lanka","authors":"K. Rahulan, T. Sathiyamoorthy, G. P. Roshan, T. Seralathan, S. Mathurahan, S. De Alwis","doi":"10.4038/sljma.v24i2.5428","DOIUrl":"https://doi.org/10.4038/sljma.v24i2.5428","url":null,"abstract":"Background: The case study delves into the Provincial Specific Development Grant (PSDG) allocation for the Regional Directorate of Health Services (RDHS) in the Western Province of Sri Lanka. The Western Province, being the smallest and most densely populated, comprises three RDHS divisions: Colombo, Gampaha, and Kalutara. This study assesses the methodology used for PSDG apportionment, considering factors such as demography, epidemiology, health status, and annual regional performance.Objective: To assess the methodology used for the apportionment of PSDG to RDHS regions of Colombo, Gampaha and Kalutara by PDHS, WP.Methods: Examining health sector expenditure, demographic and health status indicators, and regional performance, the study highlights the need for a clear system to generate, collect, and interpret performance data.Results: The study identifies \"Annual Regional Performance\" as the prioritized problem. Lack of a clear system for data management, inadequate performance information, and traditional monitoring practices contribute to this issue. The study recommends implementing Result-Based Management (RBM) approaches at the provincial level, to conduct workshops on RBM to build awareness among regional officers, to develop Key Performance Indicators (KPI) for measuring medium-term results and ensure fair PSDG allocation through scientific criteria and a scoring system.Conclusion: This study underscores the importance of a systematic and scientific approach to PSDG allocation, aiming for efficient and equitable distribution to address the unique needs of each RDHS region.","PeriodicalId":197325,"journal":{"name":"Sri Lankan Journal of Medical Administration","volume":"30 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141007939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}